Office-based blue laser therapy for dyspnea in patients with type 3 Reinke’s edema

Purpose To investigate the effectiveness of in-office blue laser therapy on dyspnea in patients with type 3 Reinke’s edema. Methods The medical records and video-recordings of patients with Reinke’s edema type 3 who had undergone office-based blue laser therapy between March 2022 and January 2023 we...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2023-07, Vol.280 (7), p.3323-3328
Hauptverfasser: Hamdan, Abdul-Latif, Abou Raji Feghali, Patrick, Hosri, Jad, Abi Zeid Daou, Christophe, Ghanem, Anthony
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container_title European archives of oto-rhino-laryngology
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creator Hamdan, Abdul-Latif
Abou Raji Feghali, Patrick
Hosri, Jad
Abi Zeid Daou, Christophe
Ghanem, Anthony
description Purpose To investigate the effectiveness of in-office blue laser therapy on dyspnea in patients with type 3 Reinke’s edema. Methods The medical records and video-recordings of patients with Reinke’s edema type 3 who had undergone office-based blue laser therapy between March 2022 and January 2023 were reviewed. The primary outcome measures assessed before and after surgery were dyspnea severity, risk of obstructive sleep apnea (OSA), and disease regression. The severity of dyspnea was measured using the Dyspnea Severity Index (DSI), the risk of OSA was assessed using the STOP-BANG questionnaire, and disease regression was assessed by reviewing the laryngeal examination before and after surgery. The Voice Handicap Index-10 (VHI-10) was used as a secondary outcome measure. Result A total of 10 patients were included. The mean age of the study population was 58.9 ± 4.2 years. The male-to-female ratio was 2:3. In total, 20 vocal fold lesions were treated among which 18 were reviewed. Eight lesions regressed completely and 10 partially. There was a statistically significant drop in the mean score of DSI after surgery (16.1 ± 10.2 pre-operatively vs 2.3 ± 2.3 post-operatively, p-value 
doi_str_mv 10.1007/s00405-023-07964-4
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Methods The medical records and video-recordings of patients with Reinke’s edema type 3 who had undergone office-based blue laser therapy between March 2022 and January 2023 were reviewed. The primary outcome measures assessed before and after surgery were dyspnea severity, risk of obstructive sleep apnea (OSA), and disease regression. The severity of dyspnea was measured using the Dyspnea Severity Index (DSI), the risk of OSA was assessed using the STOP-BANG questionnaire, and disease regression was assessed by reviewing the laryngeal examination before and after surgery. The Voice Handicap Index-10 (VHI-10) was used as a secondary outcome measure. Result A total of 10 patients were included. The mean age of the study population was 58.9 ± 4.2 years. The male-to-female ratio was 2:3. In total, 20 vocal fold lesions were treated among which 18 were reviewed. Eight lesions regressed completely and 10 partially. There was a statistically significant drop in the mean score of DSI after surgery (16.1 ± 10.2 pre-operatively vs 2.3 ± 2.3 post-operatively, p-value &lt; 0.001). The mean STOP-BANG score decreased from 4.8 ± 1.47 to 3.1 ± 1.28 (p-value = 0.001). There was also a significant improvement in VHI-10 score (22.7 ± 7.0 vs 4.4 ± 5.6, p-value &lt; 0.001). Conclusion Office-based blue laser therapy offers a safe and effective treatment for shortness of breath in patients with type 3 Reinke’s edema.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-023-07964-4</identifier><identifier>PMID: 37039895</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dyspnea - etiology ; Edema - etiology ; Female ; Head and Neck Surgery ; Humans ; Laryngeal Edema - diagnosis ; Laryngology ; Laser Therapy ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neurosurgery ; Otorhinolaryngology ; Vocal Cords - pathology</subject><ispartof>European archives of oto-rhino-laryngology, 2023-07, Vol.280 (7), p.3323-3328</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. 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Methods The medical records and video-recordings of patients with Reinke’s edema type 3 who had undergone office-based blue laser therapy between March 2022 and January 2023 were reviewed. The primary outcome measures assessed before and after surgery were dyspnea severity, risk of obstructive sleep apnea (OSA), and disease regression. The severity of dyspnea was measured using the Dyspnea Severity Index (DSI), the risk of OSA was assessed using the STOP-BANG questionnaire, and disease regression was assessed by reviewing the laryngeal examination before and after surgery. The Voice Handicap Index-10 (VHI-10) was used as a secondary outcome measure. Result A total of 10 patients were included. The mean age of the study population was 58.9 ± 4.2 years. The male-to-female ratio was 2:3. In total, 20 vocal fold lesions were treated among which 18 were reviewed. Eight lesions regressed completely and 10 partially. There was a statistically significant drop in the mean score of DSI after surgery (16.1 ± 10.2 pre-operatively vs 2.3 ± 2.3 post-operatively, p-value &lt; 0.001). The mean STOP-BANG score decreased from 4.8 ± 1.47 to 3.1 ± 1.28 (p-value = 0.001). There was also a significant improvement in VHI-10 score (22.7 ± 7.0 vs 4.4 ± 5.6, p-value &lt; 0.001). Conclusion Office-based blue laser therapy offers a safe and effective treatment for shortness of breath in patients with type 3 Reinke’s edema.</description><subject>Dyspnea - etiology</subject><subject>Edema - etiology</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Laryngeal Edema - diagnosis</subject><subject>Laryngology</subject><subject>Laser Therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Vocal Cords - pathology</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMozjj6Ai4kSzfVpEmbZiniDQYGZFyHtDlxOvZm0iLd-Rq-nk9itKNLV-fA-f4fzofQKSUXlBBx6QnhJIlIzCIiZMojvofmlLOwiDjdR3MimYg4F2KGjrzfEkISLtkhmjFBmMxkMkfrlbVlAVGuPRicVwPgKqwO9xtwuhuxbR02o-8a0LhscKf7Epre47ey3-B-7AAz_Ahl8wKf7x8eg4FaH6MDqysPJ7u5QE-3N-vr-2i5unu4vlpGBeOij_KCZ8ATI4DxNNYmTTQVhDLILaWZoYaBiZnWNs1lAjbLk0JzKTMrbKoTS9gCnU-9nWtfB_C9qktfQFXpBtrBq1gEOhZcpgGNJ7RwrfcOrOpcWWs3KkrUt0012VTBpvqxqXgIne36h7wG8xf51RcANgE-nJpncGrbDq4JP_9X-wVh7IEi</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Hamdan, Abdul-Latif</creator><creator>Abou Raji Feghali, Patrick</creator><creator>Hosri, Jad</creator><creator>Abi Zeid Daou, Christophe</creator><creator>Ghanem, Anthony</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1493-3568</orcidid></search><sort><creationdate>20230701</creationdate><title>Office-based blue laser therapy for dyspnea in patients with type 3 Reinke’s edema</title><author>Hamdan, Abdul-Latif ; Abou Raji Feghali, Patrick ; Hosri, Jad ; Abi Zeid Daou, Christophe ; Ghanem, Anthony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-bc48e45d7e3462ad65a17013ebf118d1d3ed23aaf6b95ef8b5ca4998f7f6a5f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Dyspnea - etiology</topic><topic>Edema - etiology</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Laryngeal Edema - diagnosis</topic><topic>Laryngology</topic><topic>Laser Therapy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Vocal Cords - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamdan, Abdul-Latif</creatorcontrib><creatorcontrib>Abou Raji Feghali, Patrick</creatorcontrib><creatorcontrib>Hosri, Jad</creatorcontrib><creatorcontrib>Abi Zeid Daou, Christophe</creatorcontrib><creatorcontrib>Ghanem, Anthony</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamdan, Abdul-Latif</au><au>Abou Raji Feghali, Patrick</au><au>Hosri, Jad</au><au>Abi Zeid Daou, Christophe</au><au>Ghanem, Anthony</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Office-based blue laser therapy for dyspnea in patients with type 3 Reinke’s edema</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>280</volume><issue>7</issue><spage>3323</spage><epage>3328</epage><pages>3323-3328</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Purpose To investigate the effectiveness of in-office blue laser therapy on dyspnea in patients with type 3 Reinke’s edema. Methods The medical records and video-recordings of patients with Reinke’s edema type 3 who had undergone office-based blue laser therapy between March 2022 and January 2023 were reviewed. The primary outcome measures assessed before and after surgery were dyspnea severity, risk of obstructive sleep apnea (OSA), and disease regression. The severity of dyspnea was measured using the Dyspnea Severity Index (DSI), the risk of OSA was assessed using the STOP-BANG questionnaire, and disease regression was assessed by reviewing the laryngeal examination before and after surgery. The Voice Handicap Index-10 (VHI-10) was used as a secondary outcome measure. Result A total of 10 patients were included. The mean age of the study population was 58.9 ± 4.2 years. The male-to-female ratio was 2:3. In total, 20 vocal fold lesions were treated among which 18 were reviewed. Eight lesions regressed completely and 10 partially. There was a statistically significant drop in the mean score of DSI after surgery (16.1 ± 10.2 pre-operatively vs 2.3 ± 2.3 post-operatively, p-value &lt; 0.001). The mean STOP-BANG score decreased from 4.8 ± 1.47 to 3.1 ± 1.28 (p-value = 0.001). There was also a significant improvement in VHI-10 score (22.7 ± 7.0 vs 4.4 ± 5.6, p-value &lt; 0.001). Conclusion Office-based blue laser therapy offers a safe and effective treatment for shortness of breath in patients with type 3 Reinke’s edema.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37039895</pmid><doi>10.1007/s00405-023-07964-4</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1493-3568</orcidid></addata></record>
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subjects Dyspnea - etiology
Edema - etiology
Female
Head and Neck Surgery
Humans
Laryngeal Edema - diagnosis
Laryngology
Laser Therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Vocal Cords - pathology
title Office-based blue laser therapy for dyspnea in patients with type 3 Reinke’s edema
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